TUSK

Home > Course Home > Review of Systems (ROS)

prev | up | next

Review of Systems (ROS)
The ROS is a detailed, systematic, and complete review of a patient's symptoms, both past and present, not elicited in the present illness. The ROS may also detect other symptoms related to the present illness and is usually organized on an anatomical basis. If a symptom discovered during a ROS seems related to the present illness, it may be included in the HPI as a pertinent positive or negative.

Constitutional
Fever, night sweats, weight loss
Lymphadenopathy, ecchymoses, fatigue

Dermatologic
Rash, New/growing/changing skin lesions

HEENT
Vision change, eye pain
Rhinorrhea, sinus pain, epistaxis

dysphagia, odynophagia, globus sensation
Change in hearing, tinnitus, vertigo, otalgia
Dental problems, oral ulcers or lesions

Endocrine
Weight change, heat or cold intolerance, tremor, insomnia, neck pain or swelling
Polyuria, polydypsia, polyphagia
Abnormal hair growth, change in nails

Cardiovascular
Chest pain, palpitations, syncope
Edema, cyanosis, claudication
Orthopnea, paroxysmal nocturnal dyspnea

Pulmonary
Shortness of breath, dyspnea with exertion
Cough, hemoptysis, wheezing, chest pain

GI
Nausea, vomiting, diarrhea, melena, hematochezia
Change in appetite, abdominal pain, change in bowel habits or stools

GU
Dysuria, frequency, urgency
Urinary incontinence, hematuria, foamy urine, nocturia
Change in libido, erectile dysfunction
Change in menses, dysmenorrhea, dyspaerunia, pelvic pain

Musculoskeletal
Joint swelling or pain, muscle pain, back pain

Neurologic
Headache, scotoma
Change in smell or taste, change in facial muscles
Muscle weakness, paresthesias, anesthesia
Ataxia, change in speech

Psychiatric
Depression, anxiety, hallucinations, mania, suicidal/homicidal thoughts
Binging, purging

 

Author(s): Sarah Rosenberg-Scott
Created: Thursday April 17, 2014
Modified: Friday April 18, 2014

Copyright Information: Tufts University

Tufts University School of Medicine
Copyright © 1997 -